A patient has conductive hearing loss caused by otosclerosis and has repeatedly refused surgery. To facilitate communication with the patient, the nurse should:
A) Sit or stand in front of the patient when speaking
B) Use exaggerated lip and mouth movements when talking
C) Stand in front of a light or window when speaking
D) Say the patient's name loudly before starting to talk
Ans: A
Feedback: Standing directly in front of a hearing-impaired patient allows him to lip-read and see facial expressions that offer cues to what's being said. Using exaggerated lip and mouth movements can make lip-reading more difficult by distorting words. Backlighting can create glare, making it difficult for the patient to lip-read. To get the attention of a hearing-impaired patient, do not say his name loudly; gently touch his shoulder or stand in front of him.
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